Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, South Korea.
Bone Joint J. 2022 Aug;104-B(8):938-945. doi: 10.1302/0301-620X.104B8.BJJ-2021-1730.R2.
Although absorbable sutures for the repair of acute Achilles tendon rupture (ATR) have been attracting attention, the rationale for their use remains insufficient. This study prospectively compared the outcomes of absorbable and nonabsorbable sutures for the repair of acute ATR.
A total of 40 patients were randomly assigned to either braided absorbable polyglactin suture or braided nonabsorbable polyethylene terephthalate suture groups. ATR was then repaired using the Krackow suture method. At three and six months after surgery, the isokinetic muscle strength of ankle plantar flexion was measured using a computer-based Cybex dynamometer. At six and 12 months after surgery, patient-reported outcomes were measured using the Achilles tendon Total Rupture Score (ATRS), visual analogue scale for pain (VAS pain), and EuroQoL five-dimension health questionnaire (EQ-5D).
Overall, 37 patients completed 12 months of follow-up. No difference was observed between the two groups in terms of isokinetic plantar flexion strength, ATRS, VAS pain, or EQ-5D. No re-rupture was observed in either group.
The use of absorbable sutures for the repair of acute ATR was not inferior to that of nonabsorbable sutures. This finding suggests that absorbable sutures can be considered for the repair of acute ATRs. Cite this article: 2022;104-B(8):938-945.
尽管可吸收缝线修复急性跟腱断裂（ATR）已引起关注，但使用它们的原理仍不充分。本研究前瞻性比较了可吸收缝线和不可吸收缝线修复急性 ATR 的结果。
共 40 例患者随机分为编织可吸收聚甘醇酸缝线或编织不可吸收聚对苯二甲酸乙二醇酯缝线组。然后采用 Krackow 缝线法修复 ATR。术后 3 个月和 6 个月时，使用基于计算机的 Cybex 测力计测量踝关节跖屈的等速肌力。术后 6 个月和 12 个月时，使用跟腱总断裂评分（ATRS）、疼痛视觉模拟量表（VAS 疼痛）和欧洲五维健康量表（EQ-5D）测量患者报告的结果。
总体而言，37 例患者完成了 12 个月的随访。两组间等速跖屈肌力、ATRS、VAS 疼痛或 EQ-5D 无差异。两组均未发生再断裂。
使用可吸收缝线修复急性 ATR 并不逊于不可吸收缝线。这一发现表明，可吸收缝线可用于修复急性 ATR。
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